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首页> 外文期刊>The Journal of cardiovascular nursing >Systematic review of physical activity intervention studies after cardiac rehabilitation.
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Systematic review of physical activity intervention studies after cardiac rehabilitation.

机译：心脏康复后体育锻炼干预研究的系统评价。

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摘要

Coronary heart disease significantly impacts the morbidity, mortality, and health care economy of our population. Enrollment into cardiac rehabilitation (CR) after cardiac events improves patient outcomes; however, physical activity (PA) behavior decreases significantly in the years following completion of CR. This article reviews the literature regarding interventions to maintain or increase PA after CR. Fourteen interventions studies from North America, Europe, Asia, and Australia used variations of cognitive and/or behavioral strategies. Women and older adults were underrepresented in the reviewed studies. Measurement of PA varied between studies and included self-report, objective pedometer or accelerometer data, or questionnaire format. Common cognitive interventions included self-efficacy enhancement measures, barrier management, and problem solving. Behavioral interventions included self-monitoring, prompting, goal setting, and feedback. Cognitive intervention studies reported inconsistent results, whereas behavioral studies and studies that used combinations of interventions reported more consistent, positive findings. More intervention studies, using rigorous designs and reliable measures of PA on larger, more diverse populations, are needed to improve the understanding of PA-related behavior change after completion of CR.
机译：冠心病会严重影响我们人群的发病率，死亡率和医疗保健经济性。发生心脏事件后加入心脏康复（CR）可改善患者预后。但是，在完成CR后的几年中，体育活动（PA）行为显着下降。本文回顾了有关CR后维持或增加PA的干预措施的文献。来自北美，欧洲，亚洲和澳大利亚的14项干预研究使用了认知和/或行为策略的变化。妇女和老年人在审查的研究中代表性不足。在研究之间，对PA的测量各不相同，包括自我报告，客观计步器或加速度计数据或问卷形式。常见的认知干预包括自我效能增强措施，障碍管理和解决问题。行为干预包括自我监控，提示，目标设定和反馈。认知干预研究报告的结果不一致，而行为研究和结合干预措施的研究则报告了更为一致的积极发现。需要进行更多的干预研究，对更广泛，更多样化的人群采用严格的PA设计和可靠的PA措施，以增进对CR完成后与PA相关的行为变化的了解。

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